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HomeMy Public PortalAbout5827-5827 1/2-5729 TEMPLE CITY BLVD_Certificate of Occupancy__ APPLICATION FOR OCCUPANCY INSPECTION 7OR APP.,LICANT TO FILL IN '(Print or type only) COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BU,yLDINGBUILDING AND SAFETY.DIVISION ADDRESS 582-Ph Temple City Blvd. BUILDING CITY Tem le Cit ZIP 9178D ADDRESS P SIZE OF LOT NO..OF BLDGS• LOCALITY NOW ON LOT SQ�� 034t NEAREST TRACTBLOCK LOT Nb ' CROSS ST, ASSESSOR OWNERTEL. MAP BOOK PAGE PARCEL Donald 'R. MCCombeSNO. 287-4242 DISTRICT TYPE I FIRE PROCE ED BY ADDRESS 2360 Lorain Road CA I/ ZONE CITY San Marino ZIP 911D8 USE ZONE 'MAP SIZE OF N0. OF N0. EXISTING BLDG. STORIES C� SP IAL L CONDITIONS PRESENT USE OF BUILDING BLDG. SETBACK FROM FRONT PROP. LINE OF (STREET) Acco'6ntinq Office HI HWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING NO. PARKING. ; FRONT PROP. LINE HIGHWAY WIDTH SPACES PROVIDED. 6 + _ BLDG. SETBACK REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET) C HIGHWAY + YARD = TOTAL SETBACK FR TYPE OF EXISTING New Business SIDE PROP. LINE H Y WIDTH t � + = d CORNER CUTOFF YES NO L I i PROPOSED MAX. OCC. OCCUPANCY GROUP® - AS VERIFIED OCCUPANT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD APPLICATION AND STATE THAT THE ABOVE IS COR- R ECT. EXIT HARDWARE: NO. OF EXITS NO SPEC. KNOWL. ❑ SIGNATURE OF PANIC DEVICES ❑ APPLICANT PARKING REQ O ` PROVIDED O ADDRESS 351. Cherry Drive Pasadena CA' 91105 ZIP W+=55.46 MAKE- CHECKS PAYABLE.TO: HARVEY T. BRANDY COUNTY ENGINEER FINAL DATE APPLICATION VALIDATION CK. M.O. CASH F'AUG 840-0 .0-0 lk.,48 i 6A662-CE992 I2=73 - - - ^